Difficult Laparoscopic Cholecystectomy and Its Conversion to Open Cholecystectomy Using Intra-Operative Scoring System
Objective: To determine the frequency of conversion of laparoscopic cholecystectomy to open cholecystectomy using proposed intra-operative scoring system and to check the validity of the scoring system. Study Design: Descriptive cross-sectional study. Place and Duration of Study: The study was con...
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| Format: | Article |
| Language: | English |
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Riphah International University, Islamabad
2024-01-01
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| Series: | Journal of Islamic International Medical College |
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| Online Access: | https://journals.riphah.edu.pk/index.php/jiimc/article/view/1689 |
| _version_ | 1827391799520395264 |
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| author | Syed Shams ud Din, Waleed Akbar, Inayat ullah Baig, Mirza Tassawar Hussain, Abdullah Sadiq, Talha Humayun, Tayyaba Ghulam, Aqsa Syed |
| author_facet | Syed Shams ud Din, Waleed Akbar, Inayat ullah Baig, Mirza Tassawar Hussain, Abdullah Sadiq, Talha Humayun, Tayyaba Ghulam, Aqsa Syed |
| author_sort | Syed Shams ud Din, Waleed Akbar, Inayat ullah Baig, Mirza Tassawar Hussain, Abdullah Sadiq, Talha Humayun, Tayyaba Ghulam, Aqsa Syed |
| collection | DOAJ |
| description | Objective: To determine the frequency of conversion of laparoscopic cholecystectomy to open cholecystectomy using proposed intra-operative scoring system and to check the validity of the scoring system.
Study Design: Descriptive cross-sectional study.
Place and Duration of Study: The study was conducted in the Department of Surgery, Federal Government. Polyclinic Hospital (FGPC) Islamabad from 1 February 2019 to 31 July, 2019.
Materials and Methods: This study enrolled 197 patients of either gender with age ranging between 20-60 years planned for laparoscopic cholecystectomy (LC). All the recruits were assessed intraoperatively using proposed objective intraoperative scoring-system for difficult LC. The conversion rate of LC to open cholecystectomy was recorded in correlation with demographic data and co-morbidities. Data was entered and analyzed using SPSS version 25.0.
Results: Out of 197 enrolled patients, 64% were females. The mean age of study population was 42.7 ± 12.1 years. Forty six percent (46%) patients had co-morbidities with fifty-nine (n=59) being diagnosed as hypertensive and thirty-two (n=32) as diabetic. A total of 8.1% (n=16/197) patients underwent conversion to open cholecystectomy. The overall mean objective intra-operative score was 3.6 ± 1.73; which was significantly higher in patients who underwent conversion to open cholecystectomy compared to those who did not undergo conversion (7.19 ± 0.83 vs 3.28 ± 1.39; p-value = 0.001). Conversion rate was significantly more in the patients who were above 40 years, hypertensive, and diabetic. (p<0.05 in all cases).
Conclusion: The intra-operative scoring system can be used as a valuable predictor of difficult LC and conversion to open surgery to improve clinical outcome for the patients indicated for LC. |
| first_indexed | 2024-03-08T17:20:30Z |
| format | Article |
| id | doaj.art-1cb26fb210184200b3f979419c42c050 |
| institution | Directory Open Access Journal |
| issn | 1815-4018 2410-5422 |
| language | English |
| last_indexed | 2024-03-08T17:20:30Z |
| publishDate | 2024-01-01 |
| publisher | Riphah International University, Islamabad |
| record_format | Article |
| series | Journal of Islamic International Medical College |
| spelling | doaj.art-1cb26fb210184200b3f979419c42c0502024-01-03T06:13:23ZengRiphah International University, IslamabadJournal of Islamic International Medical College1815-40182410-54222024-01-01184239245https://doi.org/10.57234/jiimc.december23.1689Difficult Laparoscopic Cholecystectomy and Its Conversion to Open Cholecystectomy Using Intra-Operative Scoring SystemSyed Shams ud Din, Waleed Akbar, Inayat ullah Baig, Mirza Tassawar Hussain, Abdullah Sadiq, Talha Humayun, Tayyaba Ghulam, Aqsa Syed0Federal Government Polyclinic Hospital, IslamabadObjective: To determine the frequency of conversion of laparoscopic cholecystectomy to open cholecystectomy using proposed intra-operative scoring system and to check the validity of the scoring system. Study Design: Descriptive cross-sectional study. Place and Duration of Study: The study was conducted in the Department of Surgery, Federal Government. Polyclinic Hospital (FGPC) Islamabad from 1 February 2019 to 31 July, 2019. Materials and Methods: This study enrolled 197 patients of either gender with age ranging between 20-60 years planned for laparoscopic cholecystectomy (LC). All the recruits were assessed intraoperatively using proposed objective intraoperative scoring-system for difficult LC. The conversion rate of LC to open cholecystectomy was recorded in correlation with demographic data and co-morbidities. Data was entered and analyzed using SPSS version 25.0. Results: Out of 197 enrolled patients, 64% were females. The mean age of study population was 42.7 ± 12.1 years. Forty six percent (46%) patients had co-morbidities with fifty-nine (n=59) being diagnosed as hypertensive and thirty-two (n=32) as diabetic. A total of 8.1% (n=16/197) patients underwent conversion to open cholecystectomy. The overall mean objective intra-operative score was 3.6 ± 1.73; which was significantly higher in patients who underwent conversion to open cholecystectomy compared to those who did not undergo conversion (7.19 ± 0.83 vs 3.28 ± 1.39; p-value = 0.001). Conversion rate was significantly more in the patients who were above 40 years, hypertensive, and diabetic. (p<0.05 in all cases). Conclusion: The intra-operative scoring system can be used as a valuable predictor of difficult LC and conversion to open surgery to improve clinical outcome for the patients indicated for LC.https://journals.riphah.edu.pk/index.php/jiimc/article/view/1689cholelithiasiscomplicationsconversion to open surgerylaparoscopic cholecystectomy |
| spellingShingle | Syed Shams ud Din, Waleed Akbar, Inayat ullah Baig, Mirza Tassawar Hussain, Abdullah Sadiq, Talha Humayun, Tayyaba Ghulam, Aqsa Syed Difficult Laparoscopic Cholecystectomy and Its Conversion to Open Cholecystectomy Using Intra-Operative Scoring System Journal of Islamic International Medical College cholelithiasis complications conversion to open surgery laparoscopic cholecystectomy |
| title | Difficult Laparoscopic Cholecystectomy and Its Conversion to Open Cholecystectomy Using Intra-Operative Scoring System |
| title_full | Difficult Laparoscopic Cholecystectomy and Its Conversion to Open Cholecystectomy Using Intra-Operative Scoring System |
| title_fullStr | Difficult Laparoscopic Cholecystectomy and Its Conversion to Open Cholecystectomy Using Intra-Operative Scoring System |
| title_full_unstemmed | Difficult Laparoscopic Cholecystectomy and Its Conversion to Open Cholecystectomy Using Intra-Operative Scoring System |
| title_short | Difficult Laparoscopic Cholecystectomy and Its Conversion to Open Cholecystectomy Using Intra-Operative Scoring System |
| title_sort | difficult laparoscopic cholecystectomy and its conversion to open cholecystectomy using intra operative scoring system |
| topic | cholelithiasis complications conversion to open surgery laparoscopic cholecystectomy |
| url | https://journals.riphah.edu.pk/index.php/jiimc/article/view/1689 |
| work_keys_str_mv | AT syedshamsuddinwaleedakbarinayatullahbaigmirzatassawarhussainabdullahsadiqtalhahumayuntayyabaghulamaqsasyed difficultlaparoscopiccholecystectomyanditsconversiontoopencholecystectomyusingintraoperativescoringsystem |